Kusanthula kwamadzimadzi

Kusanthula kwamadzimadzi ndi mayeso omwe amayesa mtundu wa madzi omwe asonkhana m'malo opembedzera. Awa ndi malo pakati pakatikati mwa mapapo (pleura) ndi khoma lachifuwa. Madzi akamasonkhana m'malo opembedzera, vutoli limatchedwa pleural effusion.

Njira yotchedwa thoracentesis imagwiritsidwa ntchito kupezera mtundu wa madzi amadzimadzi. Wopereka chithandizo chamankhwala awunika zitsanzo zomwe akufuna:

• Maselo a khansa (owopsa)
• Maselo ena (monga maselo amwazi)
• Magulu a shuga, mapuloteni ndi mankhwala ena
• Mabakiteriya, bowa, mavairasi, ndi majeremusi ena omwe angayambitse matenda
• Kutupa

Palibe kukonzekera kwapadera komwe kumafunikira mayeso asanayesedwe. Kujambula kwa ultrasound, CT scan, kapena x-ray ya chifuwa kumachitika musanayesedwe komanso pambuyo pake.

Osatsokomola, kupuma movutikira, kapena kusuntha poyesa kuti musavulazidwe m'mapapu.

Uzani wothandizira wanu ngati mumamwa mankhwala kuti muchepetse magazi.

Kwa thoracentesis, mumakhala pamphepete mwa mpando kapena pabedi mutu wanu ndi manja mutakhala patebulo. Woperekayo amayeretsa khungu mozungulira malowa. Mankhwala osungira dzanzi (jekeseni) amalowetsedwa pakhungu.

Singano imayikidwa kudzera pakhungu ndi minofu ya chifuwa cha chifuwa m'malo opembedzera. Pamene madzi amatulutsa mu botolo losonkhanitsira, mutha kutsokomola pang'ono. Izi ndichifukwa choti mapapu anu amakula kuti akwaniritse malo omwe madzimadzi ake anali. Kumverera uku kumatenga maola ochepa pambuyo poyesedwa.

Mukamayesa, uzani omwe akukuthandizani ngati mukumva kupweteka pachifuwa kapena kupuma pang'ono.

Ultrasound imagwiritsidwa ntchito posankha komwe singano imayikidwapo ndikuwona bwino madzi am'mfuwa mwanu.

Kuyesaku kumachitika kuti mudziwe chomwe chimayambitsa kupindika kwa magazi. Zimathandizidwanso kuti muchepetse kupuma pang'ono komwe kumatha kuyambitsa kupempha kwakukulu.

Nthawi zambiri pakhomopo pamakhala madzi osachepera 20 milliliters (supuni 4) zamadzimadzi omveka bwino, achikasu (serous).

Zotsatira zosazolowereka zitha kuwonetsa zomwe zingayambitse kuphulika, monga:

• Khansa
• Matenda a chiwindi
• Mtima kulephera
• Matenda
• Kusowa zakudya m'thupi kwambiri
• Zowopsa
• Kulumikizana kwachilendo pakati pa malo opembedzera ndi ziwalo zina (mwachitsanzo, kholingo)

Ngati wothandizirayo akukayikira kuti ali ndi kachilombo, chikhalidwe chamadzimadzi chimachitika kuti aone ngati mabakiteriya ndi tizilombo tina tating'ono.

Mayesowo amathanso kuchitidwa chifukwa cha hemothorax. Uwu ndi mndandanda wamagazi mu pleura.

Zowopsa za thoracentesis ndi izi:

• Mapapu otayika (pneumothorax)
• Kutaya magazi kwambiri
• Kukonzanso kwamadzimadzi
• Matenda
• Edema ya m'mapapo
• Mavuto a kupuma
• Chifuwa chomwe sichichoka

Zovuta zazikulu ndizofala.

Malo BK. Thoracentesis. Mu: Roberts JR, Custalow CB, Thomsen TW, olemba., Eds. Ndondomeko Zachipatala za Roberts & Hedges mu Emergency Medicine ndi Acute Care. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2019: chaputala 9.

Broaddus VC, Kuwala RW. Kutulutsa kwa Pleural. Mu: Broaddus VC, Mason RJ, Ernst JD, et al, olemba. Murray ndi Nadel's Bookbook of Respiratory Medicine. Lachisanu ndi chimodzi. Philadelphia, PA: Elsevier Saunders; 2016: chap 79.